Provider Demographics
NPI:1063913630
Name:NEW SOUTH PSYCHIATRY,PC
Entity type:Organization
Organization Name:NEW SOUTH PSYCHIATRY,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAYGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:251-380-6241
Mailing Address - Street 1:3209 MIDTOWN PARK S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-4126
Mailing Address - Country:US
Mailing Address - Phone:251-525-9090
Mailing Address - Fax:251-525-9091
Practice Address - Street 1:3209 MIDTOWN PARK S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4126
Practice Address - Country:US
Practice Address - Phone:251-525-9090
Practice Address - Fax:251-525-9091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty